click below
click below
Normal Size Small Size show me how
Shock
Shock & transfusion
Question | Answer |
---|---|
What is shock? | A clinical syndrome, lack of oxygen resulting in cell death, causes organ damage |
How is energy produced in shock? | Anearobic metabolism resulting in acidosis |
Mean arterial BP | cardiac output * peripheral resistance |
Cell perfusion | cardiac output, adequate blood volume & resistancee |
What causes shock? | compromised perfusion |
3 Components of perfusion | cardiac output, blood volume & PVR |
What is cardiac output? | the ability of the heart to supply adequate circulation |
What type of shock is caused by decreased cardiac output? | Cardiogenic shock |
What type of shock is caused by decrease in blood volume? | Hypovolemic shock |
What type of shock is caused by vasodilation? | Distributive/Circulatory shock |
3 types of distributive shock | septic, anaphylactic & neurogenic |
3 stages of shock | compensatory, progressive & irreversible |
signs of early compensatory shock | NORMAL BP, vasoconstriction (lack of blood to brain), decreased pulse pressure, thready pulse, change in mental stat (anxious), DECREASED URINE, METABOLIC ACIDOSIS, INCREASE RESPIRATION, COOL SKIN |
most noticable sign of compensatory shock | dark urine (below 30ml/hr) |
What stops shock from progressing to the next stage? | treating the underlying cause eg. dehydration |
What is the last thing to drop in compensatory shock? | BP is LAST TO DROP |
early treatment of shock | encourage fluids, if NPO give NS |